Individual
JOAN ESTHER GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
505 MIDDLESEX TPKE, #3, BILLERICA, MA 01821
(978) 663-7077
(617) 527-2199
Mailing address
505 MIDDLESEX TPKE, #3, BILLERICA, MA 01821
(978) 663-7077
(617) 527-2199
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3842
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0520063
—
MA
01
—
708660
TUFTS INSURANCE
MA
01
—
S003417
CHAMPUS
MA
01
—
W03814
BC BS INSURANCE
MA
Enumeration date
01/17/2006
Last updated
07/08/2007
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